Individual provider Active NPI

Rima Jakuc, PSYD

  • Clinical Psychologist
  • West Palm Beach, FL
National Provider Identifier
1972526341
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7597 Issued in FL
Practice address
1825 Forest Hill Blvd
Suite 105
West Palm Beach, FL 33406-8902
Phone
(561) 379-3650
Fax
(561) 641-0168
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH 2931 FL
Clinical Psychologist 103TC0700X PY7597 FL Primary

Addresses

Primary practice location

1825 Forest Hill Blvd
Suite 105
West Palm Beach, FL 33406-8902

Mailing address

2147 Man of War
West Palm Beach, FL 33411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080221000294 FL Practitioner - Clinical Psychologist 5092899658 Practice locations: West Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2324 S Congress Ave
2B
West Palm Beach, FL 33406-7668
Phone (561) 379-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 2931FLMDCounselor

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1972526341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 MAN OF WAR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FOREST HILL BLVD",
            "address_2": "SUITE 105",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334068902",
            "telephone_number": "561-379-3650",
            "fax_number": "561-641-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUC",
        "first_name": "RIMA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH 2931",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.